多重耐药性全球惊人增长综述:临床诊断面临的重大挑战。

John Adewole Alara, Oluwaseun Ruth Alara
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引用次数: 0

摘要

抗生素耐药性在不同传染源之间的传播加剧,是全球范围内快速增长的公共卫生挑战;这是因为发现了新的耐药性机制,降低了对一般病原性感染的质量和有效治疗。这导致微生物对标准治疗的反应不成功,这可能导致更高的死亡率、长期患病和更多的医疗支出。大多数寄生虫、细菌、真菌和病毒都会产生更高程度的多药耐药性(MDR),并增加死亡率和发病率。此外,MDR的建立可能是一种自然现象,抗菌药物使用不当,缺乏适当的卫生条件,食品处理方法差,缺乏感染预防和控制(IPC),这可能是MDR进一步传播的原因,代谢和靶位点。耐多药细菌的作用模式,如细胞壁合成抑制剂、DNA合成抑制剂等。然而,管理和预防多药耐药性的方法各不相同。因此,这篇综述的目的是教育公众,如果不采取适当措施来对抗微生物感染,全球多重耐药性的增加以及未来的危险。
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An Overview of the Global Alarming Increase of Multiple Drug Resistant: A Major Challenge in Clinical Diagnosis.

The increased spreading of antibiotic resistance among different infectious agents has been a fast-growing public health challenge worldwide; this is because of the discovery of new resistance mechanisms and the reduction in quality and effective treatments of general pathogenic infections. This has caused unsuccessful microbial responses to standard therapy, which could lead to a higher risk of mortality, prolonged illness, and more expenditures for health care. Most parasites, bacteria, fungi, and viruses can produce a higher degree of multidrug resistance (MDR) with increased mortality and morbidity. Moreover, the establishment of MDR can be a natural phenomenon, improper utilization of antimicrobial drugs, lack of proper sanitary conditions, poor method of food handling, and absence of infection prevention and control (IPC), which could be responsible for the further spreading of MDR. Moreover, MDR helminth's mechanism of action can occur via genetic alterations in the drug transport, metabolisms and target sites. MDR bacterial mode of action such as cell wall synthesis inhibitors, DNA synthesis inhibitors and so on. However, there have been different approaches to managing and preventing multi-drug resistance. Hence, this review's aim is to educate the public about the global increase of multiple drug resistance and the danger ahead if appropriate measures are not put in place to combat microbial infections.

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